Acquiring knowledge of the size and characteristics of a country’s population on a timely basis is a prerequisite to socioeconomic planning and informed decision making. Vital statistics and their subsequent analysis and interpretation are essential for setting targets and evaluating social and economic plans, including the monitoring of health and population intervention programmes, and the measurement of important demographic indicators of levels of living or quality of life, such as the expectation of life at birth and the infant mortality rate. Vital statistics can be produced solely from a full-functioning civil registration system as the only source able to ensure universal coverage and provide timely and continuous data. This Handbook offers background, specifications and practical examples for the improvement and/or establishment of civil registration, vital statistics and identity management systems. It presents model organizational and legal arrangements, as well as ideal descriptions, processes and protocols that are considered the gold standard.